BACKGROUND Stroke is a leading cause of morbidity and mortality worldwide. There is a paucity of data from South Asia where stroke is highly prevalent. Validated tools administrable by community health workers (CHWs) are required to identify stroke in the community in a resource-strapped region such as this. METHODS The study was conducted in a transitional slum in Karachi, Pakistan. Question...

In January 2007, a telestroke system was established between a community hospital lacking a neurologist on call and a stroke centre 70 km away. The telestroke system allowed urgent remote evaluation of the patient by a specialized neurologist, supervised thrombolytic treatment or a decision for urgent transfer to the stroke centre. During the first year of operation of the telestroke system, we...

OBJECTIVE Early diagnosis is necessary in order to determine neurological integrity and the potential risk of improper development, and also to undertake possible early intervention. The quantitative assessment consists of observation of motor development, and provides information about whether a child performs an activity (movement) expected at a given life period. The qualitative assessment o...

This commentary summarizes the value of a neurologist in the diagnosis and prognostication of coma. Evaluating coma is inherently complex, and neurologic consultation and management can be useful. We often find that management changes after a neurologic consultation.

I have carefully read the comments on the article ‘‘Impact of introducing neurology into a local hospital in Andalusia’’. When evaluating this article, we must be mindful that it is neither a clinical trial nor a prospective study. It simply describes retrospective data gathering for the purpose of studying a specific situation that is very common in Andalusia: stroke care in hospitals which do...

Department of Neurology, Antonio Pedro University Hospital, Federal Fluminense University, Niterói RJ, Brazil: MD, Neuropediatrician, Student of Post-Graduation Program in Neurology and Neuroscience in Federal Fluminense University (UFF); MD, MSc, Neuropediatrician, Professor of Pediatrics in Federal Fluminense University (UFF); MD, PhD, FAAN, Neurologist, Chair in Neurology. Coordinator of the...

INTRODUCTION Migraine is frequent in children. Children's drawings of their symptoms can help to identify it. OBJECTIVE To evaluate the accuracy of children's drawings to identify migraine in those who suffer from headache. POPULATION, MATERIALS AND METHODS: We evaluated 48 patients aged 5 to 19 years, assisted for headache. In all cases they were asked to draw what happened to them before an...

BACKGROUND AND PURPOSE Hospital certification as primary and comprehensive stroke center is associated with improvement in care. We aimed to characterize the leadership at stroke centers nationwide to determine the proportion led by vascular neurologists, a board-recognized subspecialty focusing on stroke care. METHODS We identified hospitals in the United States holding primary and comprehen...

BACKGROUND AND PURPOSE Telestroke reduces acute stroke care disparities between urban stroke centers and rural hospitals. Current technologies used to conduct remote patient assessments have high start-up costs, yet they cannot consistently establish quality timely connections. Smartphones can be used for high-quality video teleconferencing. They are inexpensive and ubiquitous among health care...

Robert Wartenberg was a renowned 20th century neurologist who contributed greatly to our understanding of the neurological examination. This article aims to illustrate his legacy by highlighting five seminal neurological signs.